Credit Application

Apply For Credit

We offer a store line of credit to individuals and business alike. Apply today, no application fees! By submitting this application for credit, you authorize Butler Rental and Sales to complete a credit check to determine if a store line-of-credit will be made available to you. Our terms are net 30 days. A 2% finance fee will be charged on unpaid monthly balances.

Credit Application Below:

Company/Individual's Name
Type of Business
- Corporation
- Individual
- Partnership
- Other (If chosen, please fill out below)
Type of Business Other:
Number of Years in Business*
Federal ID#
SSN#
Street Address
Street Address City State / Province / Region ZIP / Postal Code
Phone Number
Fax Number
Principle Line of Work
Account Payables Contact
Acct Payables Phone
Acct Payable Fax
Acct Payables Email
Principle Members of Company
Name 1
Social Security
Home Address
Name 2
Social Security
Home Address
Financial Information
Name of Bank
Account Number
Contact Officer
Bank Number
Bank Address
Bank Address City State Zip
Business Credit References
Company 1
Street Address
Street Address City State / Province / Region ZIP / Postal Code
Company 2
Street Address
Street Address City State / Province / Region ZIP / Postal Code
Company 3
Street Address
Street Address City State / Province / Region ZIP / Postal Code
Account Authorization
Is a Purchase Order Required?
- Yes
- No
List of individuals authorized to charge on this account
By submitting this application for credit, you authorize BUTLER RENTAL AND SALES to complete a credit check to determine if a store line-of-credit will be made available to you. BUTLER RENTAL AND SALES charges for all time equipment is out, including Saturday, Sunday and holidays. Our Terms are net 10 days. A 2% finance fee will be charged on monthly unpaid balances.

READ THE ABOVE PARAGRAPH BEFORE SUBMITTING!
I certify that all information is correct. I fully understand the credit terms and accept the terms as stated.
Signature
Signature*
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Credit Application

Apply For Credit

Credit Application Below:

Principle Members of Company

Financial Information

Business Credit References

Account Authorization

READ THE ABOVE PARAGRAPH BEFORE SUBMITTING!

Signature

Family owned and
operated since 1984!

Family owned and
operated since 1984!

Family owned and
operated since 1984!